DC FieldValueLanguage dc.contributor.authorLam, CLKen_HK dc.contributor.authorFong, DYTen_HK dc.contributor.authorLauder, IJen_HK dc.contributor.authorLam, TPDen_HK dc.date.accessioned2008-05-22T04:15:03Z- dc.date.available2008-05-22T04:15:03Z- dc.date.issued2002en_HK dc.identifier.citationSocial Science And Medicine, 2002, v. 55 n. 9, p. 1635-1646en_HK dc.identifier.issn0277-9536en_HK dc.identifier.urihttp://hdl.handle.net/10722/48493- dc.description.abstractThis study was designed to find out whether health-related quality of life (HRQOL) was an independent determinant of health service utilisation of a Chinese population and to determine whether the addition of HRQOL data to sociodemographic and morbidity factors could significantly increase the explanatory power of risk-adjustment models. A cross-sectional random telephone survey of the general adult Chinese population in Hong Kong was conducted among 2410 Chinese aged 18-88yr old, 52% were females and 38% had one or more chronic diseases. Health service utilisation was measured by annual consultation, monthly consultation and hospitalisation rates. HRQOL was measured by the SF-36. Multivariate regressions were used to test the dependence of service utilisation rates on sociodemographic factors, chronic morbidity and the SF-36 scores. Structured multiphase regression analyses were used to determine the magnitude of the effect of the SF-36 scores, in addition to those of sociodemographic and chronic morbidity factors, on service utilisation. Five of eight SF-36 scores were independent determinants of consultation rates. They doubled and tripled the percentages of variance explained for annual and monthly consultation rates, respectively. Role limitation by physical problems and bodily pain scores had a significant effect on hospitalisation rates. This was the first study showing a linear relationship between HRQOL and service utilisation on a Chinese population. It confirmed the clinical relevance of the SF-36 to a culture and health care system that is different from that of the United States where the instrument originated. ? 2002 Elsevier Science Ltd. All rights reserved.en_HK dc.format.extent120366 bytes- dc.format.extent241905 bytes- dc.format.mimetypeapplication/pdf- dc.format.mimetypeapplication/pdf- dc.languageengen_HK dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/socscimeden_HK dc.relation.ispartofSocial Science and Medicineen_HK dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.- dc.subjectChineseen_HK dc.subjectConsultation ratesen_HK dc.subjectHong Kongen_HK dc.subjectQuality of lifeen_HK dc.subjectService utilisationen_HK dc.subjectSF-36en_HK dc.titleThe effect of health-related quality of life (HRQOL) on health service utilisation of a Chinese populationen_HK dc.typeArticleen_HK dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0277-9536&volume=55&issue=9&spage=1635&epage=1646&date=2002&atitle=The+effect+of+health-related+quality+of+life+(HRQOL)+on+health+service+utilisation+of+a+Chinese+populationen_HK dc.identifier.emailLam, CLK: clklam@hku.hken_HK dc.identifier.emailFong, DYT: dytfong@hku.hken_HK dc.identifier.emailLam, TPD: tplam@hku.hken_HK dc.identifier.authorityLam, CLK=rp00350en_HK dc.identifier.authorityFong, DYT=rp00253en_HK dc.identifier.authorityLam, TPD=rp00386en_HK dc.description.naturepostprinten_HK dc.identifier.doi10.1016/S0277-9536(01)00296-9en_HK dc.identifier.pmid12297248- dc.identifier.scopuseid_2-s2.0-0036842124en_HK dc.identifier.hkuros75580- dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036842124&selection=ref&src=s&origin=recordpageen_HK dc.identifier.volume55en_HK dc.identifier.issue9en_HK dc.identifier.spage1635en_HK dc.identifier.epage1646en_HK dc.identifier.isiWOS:000178838600012- dc.publisher.placeUnited Kingdomen_HK dc.identifier.scopusauthoridLam, CLK=24755913900en_HK dc.identifier.scopusauthoridFong, DYT=35261710300en_HK dc.identifier.scopusauthoridLauder, IJ=35564928000en_HK dc.identifier.scopusauthoridLam, TPD=55232643600en_HK dc.identifier.issnl0277-9536- Export via OAI-PMH Interface in XML Formats

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